What Causes High Fasting Blood Sugar Levels In The Morning?

Posted on Thu, 2 Apr 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 2 Apr 2015 Answered on

Thu, 23 Apr 2015 Last reviewed on

Question : I am having diabetes from last 8 years my HIBC is 7.4

I am taking Gem 2 and Zita 100mg and night I am taking Gulocunurm 1000

But my morning readaing is 140-155

it is ok or I have to change the medician

Answered by Dr. Ajish TP (44 minutes later)

Brief Answer:
Your fasting sugars is high- increase medications

Detailed Answer:
Hi XXXX,

Welcome to HCM. I have gone through the question and understand your concerns.

Please let me know the content of Gem 2 tablet ? Is it Glimepiride 2 mg or a combination of Glimepiride 2 & Metformin 500mg? or you have mistyped it for Gemer 2?

In Diabetes, the target is fasting blood glucose less than 130 mg/dl and HbA1c less than 7%. Your values are slightly above target. Three options to control it

Option 1:
Improve lifestyle modifications- diet control and regular aerobic exercise.

Option 2:
Increase the dose of medications. You can increase either Metformin or glimiperide dose ( Gem 2 or Gluconorm) by 1 tablet. Zita 100 is maximum dose of medicine.

Option 3:
Add once daily basal insulin like Lantus. If you are comfortable with insulin injections, this is the ideal option to decrease your fasting blood glucose.

Hope I have answered your questions. If you have any further queries I will be happy to help you.

Regards,

Dr Ajish TP [MD,DM]
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar